Effect of Mechanical Traction in Patients With Chronic Neck Pain

N/AActive Not RecruitingNCT07663617

Amira saad mohamed44 enrolled

Overview

This study will be conducted to investigate the effect of mechanical traction on pain, disability, cervical range of motion, sleep quality and insomnia in patients with chronic neck pain. Forty four female patients with chronic neck pain will participate in this study. The patients will be diagnosed as having chronic neck pain based on careful clinical examination by neurologist. Patients in this study will be randomly divided into two equal groups: Group (A): Patients in this group will receive mechanical traction for 20 minutes in addition to conventional physical therapy. Group (B): Patients in this group will receive conventional physical therapy only. The treatment will be conducted over six weeks, three days per week.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Neck Pain

Interventions

Participants will be positioned in supine on a flat bed. A manual traction test will be performed to ensure that traction did not provoke any pain or unwanted sensations.The mechanical traction will be applied at 45° from the horizontal plane formed by the bed Mechanical traction was set to 5% of the participant's body weight on day 1 (unless not tolerated) and increased to reach 10% on the 5th day, as pain allowed, and without exceeding 12kg. Within a session, the load will applied progressively over 5 minutes and pain will be monitored using a VAS. The target weight will be then maintained for 20 minutes and then reduced gradually over the last 5 minutes. The patient then will lie still for 10 minutes before getting up Patients recieved conventional physical therapy treatment in addition to mechanical traction conducted over six weeks, three days per week.

conventional physical therapyDEVICE

Patients recieved conventional physical therapy which will include: 1-10 minute hot packs on the cervical and upper back. 2- Ultrasound: It will be applied to paraspinal muscles with a frequency of 1 MHz with a continuous mode and 0.5 W/Cm2 for 5 minutes using moving sound head technique. 3- Transcutaneous electrical nerve stimulation: The electrodes will be placed at the level of cervical paraspinal muscles and at the course of affected nerve. The impulse duration will be adjusted to 1ms with an interval of 5 ms. and frequency of 166 Hz for 20 minutes The treatment will be conducted over six weeks, three days per week.

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Female Patients with chronic neck pain. * The age of patients will be ranged from 30-45 years old. * Duration of pain will be more than six months. Exclusion Criteria: * Other neurological disorders causing sleep disorders as stroke and multiple sclerosis. * Pregnancy. * History of cervical spine surgery. * Psychological disorders such as severe depression or anxiety. * Active infection or malignancy in the cervical spine. * Body mass index more than 30kg/m2. * Diabetic or peripheral neuropathy. * Severe myelopathy

Outcomes

Primary Outcomes

pain intensity

The visual analog scale (VAS) is frequently used to measure pain intensity in patients with cervical spine disorders. The minimum clinically important difference (MCID) is the smallest change in a score that has clinical importance to the patient. Although it has been established for other medical fields, knowledge of the VAS MCID for the cervical spine is sparse, and it has rarely been considered in relation to measurement noise. the score represented in numbers from 0 to 10.